A Case of Need: a Novel

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This basic fact tends to be obscured in all the fanfare and statistics. The statistics, like the fanfare, are emotional and imprecise. Estimates vary widely, but most people agree that about a million illegal abortions are performed each year, and about 5,000 women die as a result of them. This means that the operative mortality is about 500/100,000.
This is a very high figure, especially in the light of mortality in hospital abortions. Death in hospital abortions ranges from 0-18/100,000, which
... makes it, at worst, about as dangerous as a tonsillectomy (17/100,000).
All this means is that illegal abortions are about twenty-five times as deadly as they have to be. Most people are horrified by this. But Art, who thought clearly and carefully about such things, was impressed by the statistic. And he said something very interesting: that one reason abortion remained illegal was because it was so safe.
“You have to look at the volume of business,” he once said. “A million women is a meaningless number.


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